Implementing a Comprehensive Program for the Prevention of Conduct Problems in Rural Communities: The Fast Track Experience

Childhood conduct problems are predictive of a number of serious long-term difficulties (e.g., school failure, delinquent behavior, and mental health problems), making the design of effective prevention programs a priority. The Fast Track Program is a demonstration project currently underway in four demographically diverse areas of the United States, testing the feasibility and effectiveness of a comprehensive, multicomponent prevention program targeting children at risk for conduct disorders. This paper describes some lessons learned about the implementation of this program in a rural area. Although there are many areas of commonality in terms of program needs, program design, and implementation issues in rural and urban sites, rural areas differ from urban areas along the dimensions of geographical dispersion and regionalism, and community stability and insularity. Rural programs must cover a broad geographical area and must be sensitive to the multiple, small and regional communities that constitute their service area. Small schools, homogeneous populations, traditional values, limited recreational, educational and mental health services, and politically conservative climates are all more likely to emerge as characteristics of rural rather than urban sites (Sherman, 1992). These characteristics may both pose particular challenges to the implementation of prevention programs in rural areas, as well as offer particular benefits. Three aspects of program implementation are described in detail: (a) community entry and program initiation in rural areas, (b) the adaptation of program components and service delivery to meet the needs of rural families and schools, and (c) issues in administrative organization of a broadly dispersed tricounty rural prevention program.     

Emotional disclosure about traumas and its relation to health: effects of previous disclosure and trauma severity.

This study sought to replicate previous findings that disclosing traumas improves physical health and to compare the effects of revealing previously disclosed versus undisclosed traumas. According to inhibition theory, reporting about undisclosed traumas should produce greater health benefits. Sixty healthy undergraduates wrote about undisclosed traumas, previously disclosed traumas, or trivial events. Contrary to expectations, there were no significant between-groups differences on longer term health utilization and physical symptom measures. However, Ss who disclosed more severe traumas reported fewer physical symptoms in the months following the study, compared with low-severity trauma Ss, and tended to report fewer symptoms than control Ss. Results suggest that health benefits occur when severe traumas are disclosed, regardless of whether previous disclosure has occurred.     

Subliminal psychodynamic activation method and annihilation anxiety: preliminary findings.

Research with the subliminal psychodynamic activation (SPA) method has led to improvements in subjects' functioning in a variety of areas, including but not limited to weight control, school grades, and feelings of general anxiety. In 1987, Hurvich proposed that the SPA method could be used to further the understanding of annihilation anxiety. 100 nonclinical subjects completed questionnaires pertaining to annihilation anxiety, psychological differentiation, and state anxiety and were tachistoscopically exposed to the subliminal message of symbiotic-like oneness, MOMMY AND I ARE ONE, and to control messages. Analysis showed that women with low annihilation anxiety had significantly lower state anxiety than women with high annihilation anxiety, regardless of the content of the subliminal message; results did not reach significance for men. Correlations among scores on the questionnaires also were noted.     

Examining the world of the depressed: do depressed people prefer others who are depressed?

Two studies were conducted to examine the interpersonal world of the depressed person. In Study 1, depression levels and perceptions of depressed and nondepressed people and their best friend were assessed to test the hypothesis that depressed Ss have best friends who are themselves more depressed than the best friends of nondepressed Ss. The hypothesis was confirmed, suggesting that depressed persons may prefer others who also tend toward depression. To examine this possibility, in Study 2 depressed and nondepressed college students spoke with one another in either depressed-depressed, nondepressed-depressed, or nondepressed-nondepressed pairs. It was found that depressed Ss felt worse than nondepressed Ss after speaking with nondepressed targets, but not after speaking with depressed targets. There were no differences in liking or in perceived similarity between the groups. Implications for the social world of the depressed person are discussed.     

Evidence of codependency in women with an alcoholic parent: helping out Mr. Wrong

A conceptualization of codependency and its development, which is based largely on the writings of Karen Horney, is presented. It is proposed that having learned to obtain approval and self-esteem by conforming to the demands of an exploitive person, women with alcoholic parents will continue to seek opportunities to help such people. On the basis of this analysis, it was hypothesized that women with alcoholic parents would be more helpful to an experimenter portrayed as exploitive than to one portrayed as nurturant; women with nonalcoholic parents were expected to exhibit the opposite pattern. The results strongly supported the existence of codependent behavior in the women with alcoholic parents. The implication of these findings and directions for future research were briefly discussed.     

Equity,equality, and the protestant ethic: Allocating rewards following fair and unfair competition

Female undergraduates scoring high and low on the Mirels-Garrett Protestant Ethic (PE) Scale divided a fixed reward between themselves and a co-worker following competition on a clerical task. Half the subjects were told that they had either won or lost in fair competition. The remaining subjects were told they had either won or lost because of an error that gave a favorable advantage to one of the performers. When the competition was fair, high PEs distributed the rewards available according to an equity norm, keeping more than half when they won and less than half when they lost. When the competition was unfair, high PEs attempted to reestablish fairness by compensating the performer with the unfair disadvantage. However, low PEs kept approximately half the reward regardless of fairness and regardless of whether they won or lost.     

Perceived difficulty,energization, and the magnitude of goal valence

This paper examines the proposition that the mobilization of energy and consequent magnitude of valence of a potential outcome (e.g., goal) is a function of what the individual perceives can and must be done in order to attain or avoid the outcome. An outcome that is difficult to attain or avoid requires a relatively high level of energization and will be relatively attractive, if positive, or unpleasant, if negative. Outcomes that are easy or impossible to attain or avoid require little or no energization and will be relatively low in attractiveness, if positive, or low in unpleasantness, if negative. This formulation was supported by four experiments that demonstrated (a) attractiveness of a goal is a nonmonotonic function of perceived difficulty of attaining it; (b) unpleasantness of a potential negative outcome is a nonmonotonic function of perceived difficulty of avoiding it; (c) the nonmonotonic effect of perceived difficulty on goal attractiveness disappears once instrumental behavior has been completed; and (d) the nonmonotonic effect of perceived difficulty on unpleasantness of a potential negative outcome occurs in immediate but not distant anticipation of initiating instrumental behavior. Alternative explanations, theoretical problems, and implications are discussed.